ARCHITECTURE OF PERSONALITY DISORDERS: USE OF FREE DRAWING AS A PEDAGOGICAL TOOL IN MEDICAL EDUCATION
DOI:
https://doi.org/10.21680/2446-7286.2025v11n3ID40250Abstract
Introduction: Teaching personality disorders in medical education requires innovative approaches to facilitate the understanding of underlying mechanisms and enhance student training. The use of artistic techniques, such as free drawing, has proven to be an effective strategy in psychiatry education, promoting meaningful learning. Objective: To evaluate the effectiveness of free drawing as a pedagogical tool for teaching personality disorders to medical students. Methodology: A workshop was conducted with fourth-year medical students at the Multidisciplinary Health Institute of the Federal University of Bahia. The activity began with a theoretical discussion on the mechanisms of personality development and their pathological alterations, drawing an analogy with the construction of architectural spaces. Students were then divided into groups and asked to create freehand drawings representing different personality disorders based on the diagnostic criteria of the ICD-10 and DSM-5. The drawings were qualitatively analyzed, considering symbolism, coherence with diagnostic criteria, and impact on learning. Results: The drawings demonstrated an in-depth understanding of personality disorders, allowing students to express abstract concepts visually and symbolically. The activity fostered teamwork, critical thinking, and student engagement while enabling a more complex discussion of diagnostic criteria and clinical implications. Conclusions: Free drawing proved to be an effective and low-cost active learning methodology for teaching psychiatry, promoting meaningful learning and the development of complex conceptual connections. The use of artistic resources in medical education can enhance the assimilation of dense theoretical content, contributing to a more integrative and reflective training for future professionals.
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1. Freud S. The Ego and the Id - First Edition Text [Internet]. Martino Fine Books; 2011. 90 p. Disponível em: https://books.google.com/books/about/The_Ego_and_the_Id_First_Edition_Text.html?hl=&id=v3GBuQAACAAJ
2. Engel GL. The need for a new medical model: a challenge for biomedicine. Science [Internet]. 1977;196(4286):129–36. http://dx.doi.org/10.1126/science.847460
3. American Psychiatric Association (APA). DSM-5: manual diagnóstico e estatístico de transtornos mentais [Internet]. Porto Alegre: Artmed; 2014. 992 p.
4. International Classification of Diseases - 11th Revision (ICID-11) for mortality and morbidity statistics [Internet]. 2023 [citado em 30 de setembro de 2023]. Disponível em: https://icd.who.int/browse11/l-m/en
5. Winsper C, Bilgin A, Thompson A, Marwaha S, Chanen AM, Singh SP, et al. The prevalence of personality disorders in the community: a global systematic review and meta-analysis. Br J Psychiatry [Internet]. 2020;216(2):69–78. http://dx.doi.org/10.1192/bjp.2019.166
6. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev [Internet]. 2010 [citado em 30 de setembro de 2023];30(2):217-37. Disponível em: https://psycnet.apa.org/search/citedBy/2014-23578-006
7. Volkert J, Gablonski TC, Rabung S. Prevalence of personality disorders in the general adult population in Western countries: systematic review and meta-analysis. Br J Psychiatry [Internet]. 2018 [citado em 30 de setembro de 2023];213(6). https://doi.org/10.1192/bjp.2018.202
8. Kovanicova M, Kovanicova Z, Pallayova M. Exploring the Presence of Personality Disorders in a Sample of Psychiatric Inpatients. Journal of Psychiatry and Psychiatric Disorders [Internet]. 2020 [citado em 30 de setembro de 2023]. Disponível em: https://fortuneonline.org/articles/exploring-the-presence-of-personality-disorders-in-a-sample-of-psychiatric-inpatients.pdf
9. Deslauriers L, McCarty LS, Miller K, Callaghan K, Kestin G. Measuring actual learning versus feeling of learning in response to being actively engaged in the classroom. Proc Natl Acad Sci U S A [Internet]. 2019 [citado em 30 de setembro de 2023];116(39):19251. https://doi.org/10.1073/pnas.1821936116
10. Ghezzi JFSA, Higa E de FR, Lemes MA, Marin MJS. Strategies of active learning methodologies in nursing education: an integrative literature review. Rev Bras Enferm [Internet]. 2021 [citado em 30 de setembro de 2023];74(1):e20200130. https://doi.org/10.1590/0034-7167-2020-0130
11. Laguna GGC, Sousa GS, Marques BO, Gusmão ALF, Gusmão ABF, de Azevedo KRM. Experimentações artísticas no pensar a construção de identidades a partir da infância e sua interface com a saúde mental. RSC Adv [Internet]. 2023 [citado em 30 de setembro de 2023];19(2). https://doi.org/10.22481/rsc.v19i2.12285
12. Organisation for Economic Co-operation and Development (OECD). Art for Art’s Sake?: The impact of arts education. [citado em 30 de setembro de 2023]; Disponível em: https://www.oecd-ilibrary.org/education/art-for-art-s-sake_9789264180789-en
13. Laguna GGC, Fraga RE. Saúde mental tecida com afetos, mãos e ouvidos. PRAGMATIZES [Internet]. 2023 [citado em 30 de setembro de 2023];13(25):666–77. https://doi.org/10.22409/pragmatizes.v13i25.57030
14. Goldschmidt G. The dialectics of sketching. Creat Res J [Internet]. 1991 [citado em 30 de setembro de 2023]; Disponível em: https://www.tandfonline.com/doi/abs/10.1080/10400419109534381
15. Tversky B. Mind in Motion: How Action Shapes Thought [Internet]. Hachette UK; 2019. 384 p. Disponível em: https://play.google.com/store/books/details?id=8ax7DwAAQBAJ
16. Brasil. Conselho Nacional de Saúde. Resolução nº 510, de 7 de abril de 2016. Dispõe sobre as normas aplicáveis a pesquisas em Ciências Humanas e Sociais. Diário Oficial da União [Internet]. 2016 [citado em 30 de setembro de 2023];1:44-6. Disponível em: https://conselho.saude.gov.br/resolucoes/2016/Reso510.pdf
17. Papish A, Kassam A, Modgill G, Vaz G, Zanussi L, Patten S. Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial. BMC Med Educ [Internet]. 2013 [citado em 30 de setembro de 2023];13(1):1–10. Disponível em: https://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-13-141
18. Honorato TG, Mazzaia MC, Avezani ACF, Lotufo Neto F. Cinema brasileiro e o ensino dos transtornos da personalidade. Rev Bras Educ Med [Internet]. 2021 [citado em 30 de setembro de 2023];45(2):e096. https://doi.org/10.1590/1981-5271v45.2-20200176
19. Ghatavi K, Waisman Z. Teaching medical students about personality disorders and psychotherapeutic principles: a resident pilot initiative. Acad Psychiatry [Internet]. 2006;30(2):178–9. https://dx.doi.org/10.1176/appi.ap.30.2.178
20. Martin P, Kahn J. Medical students as role-playing patients: a model for teaching personality styles in the medical setting. Acad Psychiatry [Internet]. 1995;19(2):101–7. https://dx.doi.org/10.1007/BF03341538
21. Mazer AK, Macedo BBD, Juruena MF. Personality disorders. Medicina [Internet]. 2017 [citado em 30 de setembro de 2023];50(supl.1):85–97. Disponível em: https://www.revistas.usp.br/rmrp/article/view/127542
22. Baldin JH. Transtorno de personalidade esquizotípica: aspectos clínicos e psicodinâmicos - um estudo de caso. 2019 [citado em 30 de setembro de 2023];72–72. Disponível em: https://docs.bvsalud.org/biblioref/2019/05/996963/pap_baldinjh_2019.pdf
23. Guerandel A, McCarthy N, McCarthy J, Mulligan D, Lane A, Malone K. An approach to teaching psychiatry to medical students in the time of Covid-19. Ir J Psychol Med [Internet]. 2021 [citado em 30 de setembro de 2023];38(4). https://doi.org/10.1017/ipm.2020.87
24. Sandrone S, Berthaud JV, Carlson C, Cios J, Dixit N, Farheen A, et al. Active Learning in Psychiatry Education: Current Practices and Future Perspectives. Front Psychiatry [Internet]. 2020 [citado em 30 de setembro de 2023];11. https://doi.org/10.3389/fpsyt.2020.00211
25. Barros Neto TP de, Lotufo Neto F. Transtornos de personalidade em pacientes com fobia social. Arch Clin Psychiatry (São Paulo) [Internet]. 2006 [citado em 30 de setembro de 2023];33(1):3–9. https://doi.org/10.1590/S0101-60832006000100001
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